A CASE REPORT ON PYOTHORAX

Pyothorax also called as Pleural Empyema or purulent pleuritis, a condition in which pus, a fluid that's filled with immune cells, dead cells, and bacteria gather in the pleural space. A pulmonary infection with secondary pleural involvement leads to considerable morbidity and mortality. Empyema is a complication of other medical conditions and doesn't occur on its own. Bacteria, fungi, or chemicals must get into the pleural space and cause inflammation, leading to the production of pus to develop empyema. Complete drainage of pus from the pleural cavity is essential for treatment along with antibiotics. Here we report an issue of 60 years male patient who admitted with the chief complaints of breathlessness since 1 week insidious in onset aggravated on walking relieved on lying down position, cough and intermittent fever since 1 week. He is a known smoker since 30 years. He is a known HTN & DM and was using T.Metformin500mg BD, T.Glimiperide 1mg OD, T.Amlodipine 5mg OD. On general examination the patient was conscious and cooperative. On physical examination his BP-140/90 mmHg, PR-82bpm were found to be slightly increased and on systems examination CVS-S1S2+ ,RS – decreased breath sounds. Later he was referred for some lab investigations which shows increased RBS-204 mg/dl & ESR – 28Hr/mm .Pleural fluid analysis report shows pleural fluid is of neutrophilic and Exudative in nature. Chest X-ray reveals Pleural effusion on left side of the lungs. Organism that was isolated from the pus was Klebsiella pneumonia species. He was diagnosed with Pyothorax or Empyema to treat this condition intravenous antibiotics and intercostals drainage was done. Key words: Pyothorax, Pus, Inter costal drainage, Antibiotics.